Organization
RITE AID OF NEW YORK INC
Active
Other names
RITE AID PHARMACY 00568
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
50 SOUTH MAIN STREET, JAMESTOWN, NY 14701-6633
(716) 664-2650
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
(717) 761-2633
(717) 975-8659
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
013904
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00488459
—
NY
01
—
3315606
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/12/2006
Last updated
12/28/2011
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